Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.73 / $9.15 / $55.13	Facility	26	$8.73	$9.15	$55.13
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40
Contra Costa Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.87 / $10.03 / $13.55	Professional	26	$7.87	$10.03	$13.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.89 / $12.05 / $18.88	Professional	26	$8.89	$12.05	$18.88
Lucent Health Facility/Professional Facility Modifier 26 Low / Median / High Price $24.54 / $70.00 / $80.00	Facility	26	$24.54	$70.00	$80.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40